| Mrs Brittani Amber Marie Porter, LPCC, LADC | |
|
5563 Hugo Rd, White Bear Lake, MN 55110-2344 | |
| (651) 465-5036 | |
| Not Available |
| Full Name | Mrs Brittani Amber Marie Porter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 5563 Hugo Rd, White Bear Lake, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487971016 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 300933 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | CC02078 (Minnesota) | Primary |
| Entity Name | Integrative Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396314654 PECOS PAC ID: 5698164895 Enrollment ID: O20211109002570 |
| Entity Name | Ruby Mental Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154136547 PECOS PAC ID: 3971029273 Enrollment ID: O20250430000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Brittani Amber Marie Porter, LPCC, LADC 5563 Hugo Rd, White Bear Lake, MN 55110-2344 Ph: (651) 468-5036 | Mrs Brittani Amber Marie Porter, LPCC, LADC 5563 Hugo Rd, White Bear Lake, MN 55110-2344 Ph: (651) 465-5036 |
Diana Sue Finney, LADC, MA Counselor Medicare: Medicare Enrolled Practice Location: 2179 4th St Ste 2b, White Bear Lake, MN 55110 Phone: 651-705-7872 | |
Kirby Kaczor, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 2025 4th St Ste 100, White Bear Lake, MN 55110 Phone: 651-212-4920 | |
Mrs. Tabitha Soderstrom, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 507-215-2459 | |
Christina Castaneda, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2025 4th St Ste 100, White Bear Lake, MN 55110 Phone: 651-212-4920 | |
Mr. Andrew Clark Hoistad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gun Club Rd, White Bear Lake, MN 55110 Phone: 612-644-4887 | |
Chester Mulholland, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 3596 Linden Ave, White Bear Lake, MN 55110 Phone: 651-243-2484 | |
Julie Blaske, MA LADC LMFT Counselor Medicare: Medicare Enrolled Practice Location: 1310 Hwy 96 E, Suite 200, White Bear Lake, MN 55110 Phone: 612-241-6004 |